, sent each of us a letter with a "time" magazine cover by joel kind entitled "how to die." this article is jarring to many because it's an issue that most would rather not confront. as a result, there's a great deal of unnecessary pain, confusion and suffering. it masks one of the most important issues in health care which, despite the manufactured controversy over death panels, is a rare sweet spot in the health care debate. it can improve the quality of life, in some cases length of life, and most important, we can help people understand their circumstances and get the care that they want. if this happens, the cost of health care will go down even as satisfaction and quality goes up. for most americans, the protocols followed by almost every hopped and practitioner will be to give the maximum amount of the most aggressive care in end of life situation, especially if patients have the money or insurance, they will be hooked up in their final stages of life to be resuscitated, cracking their ribs, massaging hearts. there will be tubes inserted, chemicals will be pumped, defibrillators w